MRI upper extremity w/dye at St. Luke's Health - Brazosport Hospital

100 Medical Drive, Lake Jackson, TX · CommonSpirit Health · · NPI 1972581940

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$2,100.70

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$6,002.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$348.50 with UNITED vs $3,001.00 with Health First — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
UNITED Medicaid|All Other Plans $348.50 ↓ -83%
UNITED Medicare|All Plans $357.71 ↓ -83%
BCBS Medicare|All Plans $357.71 ↓ -83%
HUMANA Medicare|All Plans $357.71 ↓ -83%
CIGNA-HEALTHSPRING Medicare|All Plans $357.71 ↓ -83%
KELSEY Medicare|All Plans $357.71 ↓ -83%
CHC Medicaid|All Other Plans $358.90 ↓ -83%
SUPERIOR Medicaid|All Plans $358.90 ↓ -83%
BCBS Medicaid|All Plans $358.90 ↓ -83%
TCHP Medicaid|All Other Plans $360.12 ↓ -83%
SELECTCARE Medicare|All Plans $368.44 ↓ -82%
WellcareTP Medicare|All Plans $368.44 ↓ -82%
Wellpoint Medicare|All Plans $368.44 ↓ -82%
Community Health Choice Commercial|Exchange $375.60 ↓ -82%
Devoted Medicare|All Plans $382.75 ↓ -82%
SCANHealth Medicare|All Plans $382.75 ↓ -82%
CHC Medicaid|CHIP $400.66 ↓ -81%
UNITED Medicaid|STAR $466.99 ↓ -78%
CHC Medicaid|STAR $481.95 ↓ -77%
TCHP Medicaid|STAR $482.57 ↓ -77%
Ambetter Commercial|All Plans $518.68 ↓ -75%
Wellpoint Commercial|Exchange $536.57 ↓ -74%
Aetna Commercial|Exchange $550.87 ↓ -74%
United Commercial|Exchange $554.45 ↓ -74%
Bright Health Commercial|All Plans $615.81 ↓ -71%
BCBS-TX Commercial|Blue Advantage HMO $660.60 ↓ -69%
Aetna Commercial|All Other Plans $764.00 ↓ -64%
United Commercial|All Other Plans $846.00 ↓ -60%
Aetna Medicare|All Plans $900.30 ↓ -57%
Humana Commercial|All Plans $933.05 ↓ -56%
Entrust Commercial|All Plans $970.37 ↓ -54%
Wellpoint Medicaid|All Other Plans $1,000.00 ↓ -52%
UNITED Medicaid|STARPLUS $1,066.41 ↓ -49%
BCBS-TX Commercial|PPO-POS $1,176.10 ↓ -44%
BCBS-TX Commercial|HMO $1,260.11 ↓ -40%
BCBS-TX Commercial|Blue Options $1,332.60 ↓ -37%
Wellpoint Medicaid|STAR $1,340.00 ↓ -36%
BCBS-TX Commercial|PPO $1,409.03 ↓ -33%
BCBS-TX Commercial|Traditional $1,478.64 ↓ -30%
Cigna Commercial|All Plans $2,400.80 ↑ +14%
Health First Commercial|All Plans $3,001.00 ↑ +43%

Visitor-reported prices

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MRI upper extremity w/dye at other Texas hospitals

Hospital City Cash price Negotiated range
BAYLOR UNIVERSITY MEDICAL CENTER Dallas $1,447.90 $332.94 – $2,149.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM Brenham $2,011.63 $414.06 – $3,017.44
BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA Suite 110 $2,565.00 $332.94 – $3,206.25
BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL Frisco $1,447.90 $332.94 – $2,149.00
BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION College Station $2,011.63 $332.94 – $3,017.44
BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL Temple $2,011.63 $341.81 – $3,017.44
BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK Cedar Park $2,565.00 $332.94 – $3,847.50
BAYLOR SCOTT & WHITE ALL SAINTS MEDICAL CENTER - FORT WORTH Fort Worth $1,447.90 $332.94 – $2,149.00

All Texas hospitals for this procedure →